American Medical Compliance

JUNE 21, 2024

The Department of Health and Human Services (HHS) estimated that improper payments in the Medicare and Medicaid programs exceeded $100 billion from 2016 to 2023. This involves promoting ethical behavior, encouraging open communication, and having a zero-tolerance policy towards FWA.

Medicaid

Amercan Journal of Nursing

MAY 21, 2025

Fortunately, effective vaccination exists, and nurses play a critical role in raising awareness, educating patients, and promoting vaccine acceptance. By offering evidence-based education, addressing patient concerns, and promoting vaccine accessibility, nurses can significantly reduce the burden of shingles in the communities they serve.

Medicare

Relias

DECEMBER 21, 2021

For Medicare claims, you already track care quality and report it to the Centers for Medicare and Medicaid Services (CMS). Those quality ratings appear on Medicare’s Care Compare website and inform prospective clients how well you’re achieving positive outcomes. Improve Your Quality Ratings.

Medicare

Aussie Nurse

FEBRUARY 21, 2023

They also play an important role in managing patients’ medical records and communicating with other healthcare professionals to coordinate care. It includes the prevention, diagnosis and treatment of illnesses and diseases, as well as the promotion of healthy lifestyles. What is the medicare healthcare reform in Australia about?

Medicare

Consult QD

DECEMBER 7, 2023

Once admitted, patients are set up at home with technology to enable transmission of biometric data, bidirectional communication, and coordination with the hospital’s Clinically Integrated Virtual Command Center (CIVC) located in Vero Beach. Rothman, noting they must live within a 30-mile radius of the hospital to participate.

Medicaid

Minority Nurse

SEPTEMBER 30, 2024

Since nurses are natural patient advocates , they may find their friends, families, and patients complaining about these new ways to access care and communicate with providers. This has enhanced patient involvement and control over their healthcare decisions, promoting greater transparency and engagement.” ”

Care coordination

Relias

MAY 6, 2025

Moreover, some organizations that partially rely on Medicare reimbursements can experience delays in essential patient experience data when working with outdated survey vendors. One primary reason is a lack of effective communication. Underpinning gaps in communication is the overall quality of the patient experience.

HIPAA

American Nurse

SEPTEMBER 5, 2024

Missouri skilled nursing facility residents (N=253) reported that 49% of residents rely on staff to clean their mouth, many have no Medicare dental coverage, and Medicaid covers a limited number of dental services (The Oral Health of Adults, 2022). Participant #1 states promoting prophylaxis and twice-yearly preventative treatment.

Medicare

University of St. Augustine for Health Sciences

DECEMBER 15, 2023

According to a survey conducted by Doximity, more than 83% of surveyed physicians expressed that telemedicine had proven valuable in improving the ongoing care for patients with complex or chronic conditions, while 65% noted it enhanced communication with their patients. At the University of St. What Does Virtual Healthcare Look Like?

Telemedicine

American Nurse

FEBRUARY 21, 2024

Finally, deliberately falsifying documentation (such as submitting false claim to Medicare) can subject nurses to sanctions under the federal False Claims Act. Communicate information about the plan of care and outcomes to other members of the healthcare team. Document communications with patients and their families/caregivers.

Licensing

Relias

MAY 1, 2022

Because the Centers for Medicare and Medicaid Services will not reimburse healthcare organizations for costs associated with hospital- or facility-acquired pressure injuries, appropriate assessment at the time of admission is vital. Skillful Clinician Communication. Not communicating wound status to the responsible family member.

Education

Every Nurse

JUNE 24, 2023

Hospital readmissions due to falls can result in penalties under Medicare and Medicaid programs. Communicating Fall Risk Status to the Care Team Communicating a patient’s fall risk status to the care team is crucial for their safety. As a CNA, you must be detail-oriented and thorough in conducting fall risk assessments.

Mental Health

American Nurse

JULY 3, 2024

Patient-centered care focused on self-sufficiency The Centers for Medicare and Medicaid Services (CMS) uses the term “home health” to describe a federal health insurance program that provides intermittent short-term care to help patients recover from illness and become as self-sufficient as possible at home.

Self-Care

American Nurse

FEBRUARY 29, 2024

Takeaways: The 1990 Federal Patient Self Determination Act requires that Medicare- and Medicaid-funded healthcare organizations follow state laws related to advance directives. The act requires that Medicare- and Medicaid-funded healthcare organizations, such as hospitals and nursing homes, follow state laws related to advance directives.

Self-Care

American Nurse

FEBRUARY 16, 2024

Major life activities are described as “caring for oneself, performing manual tasks, seeing, hearing, eating, sleeping, walking, standing, lifting, bending, speaking, breathing, learning, reading, concentrating, thinking, communicating, and working” (ADA, 2009, Section 12102 (2) (A)). Society is often unkind to those with disabilities.

Mental Health

Relias

JULY 20, 2023

­The Centers for Medicare and Medicaid Services (CMS) issued a final rule in August 2022 to improve maternal health outcomes and advance health equity — two of the Biden-Harris Administration’s key priorities. Let’s take a look at other components that have been communicated by CMS. Sadly, U.S. rates are continuing to rise.

Medicaid